{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T19:47:40Z","timestamp":1694634460711},"reference-count":12,"publisher":"American Public Health Association","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2000,10,1]]},"abstract":"<jats:p> OBJECTIVE: This report presents the strategies used to eradicate rubella in the Caribbean region and the challenges faced by that effort. METHODS: Using the surveillance system for measles cases that was instituted in all countries in the Caribbean Community (CARICOM), 12 countries confirmed cases of rubella between 1992 and 1996. Rubella infections occurred in epidemic proportions in 6 countries during that period. RESULTS: On the basis of the rubella prevalence data, rubella-congenital rubella syndrome (CRS) cost-benefit analysis, and cost-effectiveness of the mass campaign, the Council for Human and Social Development of CARICOM resolved, on April 21, 1998, that every effort would be made to eradicate rubella, as well as to prevent the occurrence of new cases of CRS by the end of 2000. Using the Pan American Health Organization's template for measles eradication, CARICOM proposed and implemented the main strategies for rubella and CRS eradication, and rubella mass campaigns were conducted in 18 countries. The target population, which included males and females (aged 20-40 years), was approximately 2.2 million. CONCLUSION: The major challenges for rubella eradication are attaining high vaccine coverage in the adult population and maintaining an effective surveillance system able to detect rubella activity. <\/jats:p>","DOI":"10.2105\/ajph.90.10.1545","type":"journal-article","created":{"date-parts":[[2008,11,29]],"date-time":"2008-11-29T13:33:29Z","timestamp":1227965609000},"page":"1545-1549","source":"Crossref","is-referenced-by-count":27,"title":["Strategies to eradicate rubella in the English-speaking Caribbean"],"prefix":"10.2105","volume":"90","member":"844","reference":[{"key":"p_1","first-page":"28","author":"Immunization","year":"1987","journal-title":"World Health. January-"},{"key":"p_2","unstructured":"World Health Assembly. Global Eradication of Poliomyelitis by the Year 2000. Geneva, Switzerland: World Health Organization; 1988. WHA Resolution 11.28."},{"key":"p_3","unstructured":"Measles Eradication Field Guide. Washington, DC: Pan American Sanitary Bureau, Pan American Health Organization; 1999. Technical Paper No. 41."},{"key":"p_4","unstructured":"Nordstram B. Congenital rubella syndrome in Grenada. In: CAREC Surveillance Report. Vol 9, No. 9. Port of Spain, Trinidad: Caribbean Epidemiology Center; September 1983."},{"key":"p_5","doi-asserted-by":"publisher","DOI":"10.1093\/tropej\/32.2.79"},{"key":"p_6","first-page":"419","volume":"42","author":"Dowdle WR","year":"1970","journal-title":"Bull World Health Organ."},{"key":"p_7","doi-asserted-by":"crossref","first-page":"522","DOI":"10.1093\/clinids\/7.Supplement_1.S22","volume":"7","author":"Orenstein WA","year":"1985","journal-title":"Rev Infect Dis."},{"key":"p_8","unstructured":"Rubella and CRS control\/elimination strategies. In: Final Report: Fourteenth Meeting of the English-Speaking Caribbean EPI Managers, Castries, St Lucia, 18 to 20 November 1997. Washington, DC: Division of Vaccines and Immunization, Pan American Health Organization; 1998:4."},{"key":"p_9","unstructured":"Resolution on the elimination of rubella. In: Report of the First Meeting of the Council for Human and Social Development, Kingston, Jamaica, 20-21 April 1998. Georgetown, Guyana: Council for Human and Social Development; 1998:21-22. Report 98\/1\/53."},{"key":"p_10","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(83)91572-6"},{"key":"p_11","unstructured":"Rubella and CRS control\/elimination strategies. In: Final Report: Thirteenth Meeting of the English-Speaking Caribbean EPI Managers, Miami Beach, Florida, 4 to 6 November 1996. Washington, DC: Division of Vaccines and Immunization, Pan American Health Organization; 1997:4-7."},{"key":"p_12","first-page":"55","volume":"75","author":"Cutts FT","year":"1997","journal-title":"Bull World Health Organ."}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.90.10.1545","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T22:44:26Z","timestamp":1652136266000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.90.10.1545"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2000,10,1]]},"references-count":12,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2000,10,1]]}},"alternative-id":["10.2105\/AJPH.90.10.1545"],"URL":"https:\/\/doi.org\/10.2105\/ajph.90.10.1545","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,10,1]]}}}